A randomized comparison of flow characteristics of semiskeletonized and pedicled internal thoracic artery preparations in coronary artery bypass

Journal of Cardiothoracic Surgery
Opas Satdhabudha, Narupa Noppawinyoowong

Abstract

Harvesting the internal thoracic artery (ITA) with semiskeletonization is an alternative technique between conventional wide pedicle and skeletonization. It is almost as simple as pedicle harvesting; however, it is supposed to provide the advantage of graft flow and length. Since the heart is unique being the only organ which is perfused during diastole, for comparing the intraoperative graft flow characteristics of semiskeletonization and pedicle technique, we used diastolic filling (DF) using transit-time flow measurement as a primary result. The objective of this study is to compare if semiskeletonized ITA has a greater effect on the intraoperative DF of graft flow versus conventional pedicled ITA in coronary artery bypass. Between July 2015 and May 2016, a prospective evaluation of 60 consecutive patients undergoing coronary artery bypass grafting for left anterior descending artery revascularization were randomized to having semiskeletonized (n = 30) or conventional pedicled (n = 30) ITA graft harvested by the same surgeon. Intraoperative transit-time flows were obtained. The DF of the ITA graft at the end of operation was evaluated in two groups. The intraoperative DF was significantly greater in the semiskeletonized graf...Continue Reading

References

Jun 11, 1976·The Annals of Thoracic Surgery·H R KayD Lepley
Nov 1, 1992·The Annals of Thoracic Surgery·J M CunninghamR A Meek
Mar 1, 1989·The Annals of Thoracic Surgery·T J Vander SalmM K Pasque
Jan 2, 1986·The New England Journal of Medicine·F D LoopW C Sheldon
Sep 1, 1987·The Annals of Thoracic Surgery·S B Keeley
Jan 1, 1995·The Annals of Thoracic Surgery·R A de Jesus, R D Acland
Jan 1, 1994·The Annals of Thoracic Surgery·F H EdwardsM Schwartz
Jan 25, 1996·The New England Journal of Medicine·A CameronH V Schaff
Mar 1, 1997·The Annals of Thoracic Surgery·T Horii, H Suma
May 20, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·O WendlerH J Schäfers
Apr 12, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G D'AnconaT A Salerno
Aug 2, 2000·The Annals of Thoracic Surgery·T HigamiK Ogawa
Mar 30, 2001·The Journal of Thoracic and Cardiovascular Surgery·M MatsaR Mohr
May 23, 2002·The Annals of Thoracic Surgery·Tetsuro MorotaChing-Tsorng Huang
Apr 28, 2005·The Annals of Thoracic Surgery·Shahzad G Raja, Gilles D Dreyfus
May 30, 2006·The Annals of Thoracic Surgery·Denis BerdajsMichele Genoni
Aug 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Gabriele Di GiammarcoMichele Di Mauro
Nov 14, 2007·Interactive Cardiovascular and Thoracic Surgery·Stefano UrsoErnesto Greco
Apr 21, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Håvard NordgaardRune Haaverstad
Feb 24, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Teresa Mary KieserIsrael Belenkie
Feb 28, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Teresa M KieserKishan Narine

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Citations

Aug 15, 2017·Current Opinion in Cardiology·Teresa M Kieser

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Methods Mentioned

BETA
coronary artery bypass
coronary artery

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